Migration Assessment Form

enquiries
To ensure we provide you with the most accurate and rapid assessment, please complete this brief questionnaire as fully as possible. Your details will be kept entirely confidential.

It is important that you provide to us your dates of birth and phone numbers.

* Indicates required values

Your Full Name* :

Your Date of Birth (mm/dd/yy)* :

Email Address* :

Country/ies of citizen*:

Address :

Telephone :

Fax:

Your spouse's full name:

Your spouse's date of birth:

Spouse's Country of citizen:

EDUCATION/QUALIFICATIONS/OCCUPATION

Name of your tertiary qualification/s
in full i.e. Bachelor of Science in Animal
Science, National Diploma in
Engineering: Mechanical etc:

Name of tertiary institution/s in full
i.e. Bristol University , United Kingdom:

Principal language of instruction:

Date/s of completion:

Your nominated occupation:

Years of tertiary education in your
occupation?

Years of work experience in your
occupation?

How well do you speak English:

Name of your spouse's qualification/s
in full

Spouse - Name of the tertiary
institution/s in full

Spouse - Principal language of
instruction

Spouse - Date/s of completion:

Your spouses nominated occupation:

Spouse - Years of tertiary education
in your occupation?

Spouse - Years of work experience in
your occupation?

How well does your spouse speak English?:

EMPLOYMENT NOMINATION

Are you willing to settle in a Yes No 
designated regional area?:

Do you have an Australian business:  Yes No
willing to nominate you for
employment?

Name of the business willing to
sponsor/ nominate you:

Postcode of employer's business:


Position available:

Number of years offered fixed
term employment:

Rate of salary offered per year?:

SKILLED MIGRATION

What is your current occupation?:

Have you had 3 of the last 4 years  Yes No
work experience in that field?

Do you have a close relative who is an  Yes No
Australian permanent resident or
citizen?  Yes No

Are they willing to sponsor you?  Yes No

Name the town / city in which they
live:

ADDITIONAL INFORMATION and FURTHER QUESTIONS

Are you and your family well?  Yes No

If any member of the family has a:
medical condition, please describe

If any member of the family has a
criminal record, please detail:

Queries:

Please state your email address again: